Individual
DR. OWEN ROBERT KIERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1804 OAKLEY SEAVER DR STE A, CLERMONT, FL 34711-1925
(407) 521-3600
(407) 521-3603
Mailing address
1804 OAKLEY SEAVER DR STE A, CLERMONT, FL 34711-1925
(407) 521-3600
(407) 521-3603
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS14242
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021151000
—
FL
01
—
1790094753
NPI
—
01
—
PBB02
MEDICARE
—
01
—
UZ1EW
BCBS
FL
Enumeration date
09/24/2010
Last updated
03/13/2024
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